Thyroid refill guide

Thyroid medication refill online in Virginia and West Virginia

This guide is for continuing an already-established, stable dose of levothyroxine (or desiccated thyroid/liothyronine) for previously diagnosed hypothyroidism, with a recent in-range TSH — this lane never starts new thyroid medication, treats hyperthyroidism, or manages a thyroid nodule or thyroid cancer.

Start online

Start a $59 online review for Thyroid medication refill.

If you've been on the same, stable dose of levothyroxine (or desiccated thyroid/liothyronine) for hypothyroidism for at least 3 months, and you have a TSH blood test result from within the last 12 months that's in your normal range, an online bridge refill can often be issued quickly. This lane is refill-only — it does not start thyroid medication for the first time, treat an overactive thyroid, or manage a thyroid nodule or thyroid cancer.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response windows

Quick facts

You must be physically in Virginia and West Virginia at the time of request
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response windows: 24/7, every day

Common symptoms

Needing a routine refill of your established levothyroxine, desiccated thyroid, or liothyronine dose
No new symptoms — just continuing a medication that has been working well
A recent TSH blood test result that was in your normal/target range

May fit online care

Adults 18 and older
A previously diagnosed hypothyroidism, on the same medication dose for at least 3 months
A photo of a TSH result from within the last 12 months that's in your normal/target range
No pregnancy, no new palpitations/tremor/weight loss, no severe fatigue/swelling, and no new neck lump

Look for another care setting

Starting thyroid medication for the first time (this lane is refill-only)
A history of hyperthyroidism, a thyroid nodule, or thyroid cancer
No TSH result from the past 12 months, or a TSH that was out of range
Pregnant or possibly pregnant, or a dose change within the last 3 months
New palpitations, tremor, unexplained weight loss, severe fatigue, significant swelling, or a new neck lump

What to have ready

A clear photo of your TSH lab report (name, date, and value visible)
Your current thyroid medication and dose, and how long you've been on it
Whether you are pregnant or could be pregnant
Any new symptoms, or a new neck lump or swelling

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Recognized with the Act Fast Award for the fastest physician stroke-treatment times (2019–2022) and as the most efficient, highest-rated physician in the HCA LewisGale Alleghany emergency department (2018). Licensed in Virginia and West Virginia — your care is never handed off.

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Why do I need a recent TSH result to get a refill?

TSH is the standard blood test used to confirm your thyroid dose is still correct. Refilling without a current TSH risks continuing a dose that's too high or too low, which can cause real symptoms and, over time, heart or bone effects. A TSH from within the last 12 months that's in your normal range confirms your current dose is working.

Where can I get a TSH blood test?

You can get a TSH test at most labs, urgent care clinics, or your primary care office — some labs also offer walk-in or self-ordered testing. Once you have a result, take a clear photo of the lab report and use it for your refill request.

Can you start me on thyroid medication for the first time, or treat hyperthyroidism?

No. This lane is refill/continuation only for patients already established on a stable dose for previously diagnosed hypothyroidism. Starting new thyroid medication, treating an overactive thyroid, and managing a thyroid nodule or thyroid cancer all need an in-person or endocrinology evaluation.